This system is used to deal with blood that is high (hypertension). Lowering blood that is high helps prevent strokes, heart attacks, and kidney issues.
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This product contains 2 medications. Propranolol is a blocker that is beta works by blocking certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This effect reduces heart rate, blood pressure, and strain on the heart. Hydrochlorothiazide is called a "water pill" (diuretic) and causes your body to get rid of extra salt and water. This effect might increase the amount of urine you make when you first start the medication. It also helps to relax the blood vessels so that blood can flow through the physical body more effortlessly.
These medications are used together when 1 medication is not controlling your blood pressure levels. Your medical professional should direct one to start taking the average person medications first, then switch you over to this combination item if this is actually the dose combination that is best for you.
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See also Warning section.
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Take this medication by lips, usually twice daily or as directed by your doctor. You usually takes this medication with or without meals, but it's important to choose one way and just take this medication the way that is same every dose.
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The dosage is based in your condition that is medical and to treatment.
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If you take this drug too close to bedtime, you may need to wake up to urinate. Therefore, it is best to take this medication at least 4 hours before your bedtime. Consult your doctor or pharmacist if you have questions regarding your dosing schedule.
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If in addition take certain drugs to lower your cholesterol (bile acid-binding resins such as colestipol or cholestyramine), simply take this product at the very least 4 hours before or at least 3 to 4 hours after these medicines.
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Use this medication regularly to obtain the most benefit from it. Each day to help you remember, take it at the same times. It's important to continue taking this medicine even if you're feeling well. Most individuals with high blood pressure do not feel sick. It may take up a number of months before you get the full benefit of this drug.
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Tell your doctor if your condition worsens (e.g., your routine blood pressure readings increase).
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See also Warning and Precautions sections.
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Dizziness, lightheadedness, blurred vision, or tiredness may occur as your body adjusts to the medication. Nausea/vomiting, stomach pain, and unusual dreams may additionally take place. If some of these effects persist or worsen, inform your doctor or pharmacist promptly.
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Propranolol may reduce blood circulation to your hands and feet, causing them to feel cold. Smoking may worsen this effect. Dress warmly and avoid tobacco use.
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Understand that your medical professional has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of adverse effects. Many people using this medication do not have adverse that is serious.
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The hydrochlorothiazide in this system may cause a loss of too much body water (dehydration) and salt/minerals. Tell your doctor right away if you have any of these unlikely but serious symptoms of dehydration or mineral loss: very mouth that is dry extreme thirst, muscle cramps, weakness, fast/irregular heartbeat, nausea/vomiting, severe dizziness, confusion, unusual decrease in the total amount of urine, fainting, seizures.
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Inform your physician straight away if some of these not likely but side that is serious happen: shortness of breath, blue fingers/toes, swelling ankles/feet, mental/mood changes (e.g., depression), numbness/tingling of arms/legs, very slow heartbeat, decreased sexual ability, unexplained/sudden weight gain, increased thirst/urination, decrease in eyesight, eye pain.
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Tell your doctor immediately if some of these rare but extremely serious side effects happen: effortless bruising/bleeding, signs of infection (e.g., fever, persistent sore throat), aching/swollen joints, yellowing eyes/skin, persistent nausea/vomiting, severe stomach/abdominal pain, dark urine, unusual change in the quantity of urine (not including the conventional increase in urine when you initially begin this drug).
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A very serious reaction that is allergic this drug is rare. However, seek immediate attention that is medical you observe any symptoms of a severe allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), serious dizziness, trouble breathing.
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This isn't a list that is complete of side effects. If you notice other effects not listed above, contact your pharmacist or doctor.
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Call your medical practitioner for medical advice about adverse results. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
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In Canada - Call your physician for medical advice about side effects. You could report effects that are side Health Canada at 1-866-234-2345.
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Before taking this medicine, tell your medical practitioner or pharmacist if you are allergic to propranolol or hydrochlorothiazide; or to other thiazides (e.g., chlorothiazide); or if you have had a serious reaction to other beta blockers (e.g., metoprolol, atenolol); or if you have any other allergies. This product may contain ingredients that are inactive which could cause allergic reactions or other problems. Talk to your pharmacist to get more details.
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Before using this medication, tell your doctor or pharmacist your medical history, especially of: difficulty in breathing (e.g., asthma, bronchitis, emphysema), diabetes, heart failure, certain kinds of heart rhythm problems (sinus bradycardia, Wolff-Parkinson-White syndrome, second- or third-degree atrioventricular block), overactive thyroid (hyperthyroidism), kidney disease, liver condition, the circulation of blood problems (age.g., Raynaud's disease), a specific style of tumefaction (pheochromocytoma), mental/mood disorders (e.g., depression), particular muscle/nerve infection (myasthenia gravis), gout, loss of too much body water (dehydration), lupus, certain current nerve surgery (sympathectomy), severe allergic reactions, untreated mineral imbalance (e.g., low potassium/magnesium, high calcium).
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Before having surgery, tell your doctor or dentist that you will be taking this medication.
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This drug will make you dizzy or cause vision that is blurred. Do not drive, use machinery, or do any activity that requires alertness or clear vision you can perform such activities safely until you are sure. Limit beverages that are alcoholic.
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To reduce the possibility of dizziness and lightheadedness, get up slowly whenever rising from a sitting or position that is lying. Significant loss of body water from too sweating that is much vomiting, or diarrhoea can additionally reduced your blood circulation pressure and worsen dizziness. Drink lots of liquids to prevent these effects and dehydration. If you're on restricted fluid intake, consult your physician for further instructions. Contact your doctor in the event that you are unable to drink fluids or if you have persistent diarrhea/vomiting.
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This medication may reduce the potassium levels in your blood. Ask your doctor about increasing the amount of potassium in your diet (e.g., bananas, orange juice) or about using a salt substitute potassium that is containing. A potassium supplement might be prescribed by your doctor.
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If you have diabetes, this product may prevent the fast/pounding heartbeat you would usually feel when your blood sugar level falls too low (hypoglycemia). Other symptoms of a blood that is low level, such as dizziness and sweating, are unaffected by this drug. This product additionally may make it harder to manage your blood sugar. Check always your blood glucose levels regularly as directed by your doctor. Tell your doctor straight away in the event that you have symptoms of high blood sugar such as increased thirst, hunger, and urination. Your anti-diabetic medication or diet may need to be adjusted.
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This medication might make you more sensitive to the sun. Avoid prolonged sun exposure, tanning booths, and sunlamps. Use a sunscreen and wear clothing that is protective outdoors.
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Older adults may be more responsive to the effects of this product, especially dizziness.
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During maternity, this product should be used only when demonstrably needed. Infants subjected to the medications in this product during pregnancy may have low birth weight, low blood sugar levels, slow breathing/heartbeat, liver issues, or bleeding issues. Talk about the dangers and benefits together with your doctor.
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The medications in this product pass into breast milk. Consult your physician before breast-feeding.
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